What’s Love Got To Do With It?

If you have read any of my recent blogs, you may have noticed the following quote from Lao Tsu, an ancient Chinese philosopher: “to be loved deeply gives you strength, to love deeply gives you courage.”

 

The wisdom of those words explain much about behaviors I observed and attempted to treat as a psychiatrist. Feeling unloved was indeed a common complaint and the cause of a great deal of pain and misery.  Without the experience of feeling loved one is weakened, and thus may lack courage to face even the ordinary demands of life.  This may progress to a conviction that one is not only unloved but unlovable, resulting in self-loathing, depression, thoughts of harming oneself, and according to Anthony Storr, may generate violent aggression which he says is: “a complex mask for a repressed longing for love.”

WHY DO THEY DO IT?

There seems little doubt that we are now in the midst of an era of increased incidence of depression and unsanctioned violent aggression. Mass murders by otherwise ordinary people of all ages are now occurring at a level never before seen in the U.S.  Most perpetrators have a history of relative anonymity.  Neighbors usually describe them as quiet and unassuming, a person to whom they would speak to in passing but never engage in conversation.  Acquaintances when found describe their relationship as superficial, and express profound surprise that the person was capable of violence.  There is little evidence of any closeness let alone intimacy in their lives.  Could such horrible deeds be as Storr said: a result of anger over the lack of love in their life?

THE THIRD MOST COMMON CAUSE OF DEATH

There has been an alarming increase in the number of kids diagnosed with clinical depression which is not limited to those who are disadvantaged or abused.  A recent Center for Disease Control and Prevention survey of young people between the ages of 10 and 24 years resulted in shocking statistics. They report 4600 lives lost each year by suicide (most experts feel the actual number is higher due to a tendency for many to go unreported), and that rate has nearly tripled since 1940.  Emergency rooms throughout the country report 157,000 young people treated for self-inflicted injuries each year.  In their Nationwide survey of high school students, the CDC reported 13% admitted to seriously considering suicide, and 8% actually made an attempt to take their own life.  The report goes on to list a number of risk factors however; at a time in their lives when they are dependent on others to establish an identity and self-worth, it seems to me that relationships deserve to be at the top of the list.  Indeed, many teen-age suicides do implicate such problems as precipitating factors.

MORE OF THE SAME, ONLY WORSE

Rollo May in his 1960’s book LOVE AND WILL, says  “Our culture pushes people toward becoming more detached and mechanical,” but that observation doesn’t come close to what we see now that the digital age has enveloped us.  The addiction of our children to cell phones and other electronic gadgets contributes to their alienation.  Consolidation of schools and overcrowded classrooms have made it easier for kids to fall through the cracks.  Social media has become a convenient vehicle through which kids can be disparaged or bullied.  They are often attacked where they are most vulnerable i.e. their lovability consequently; the common theme “no one likes you” can be devastating to developing minds.  Now we hear there has been a dramatic increase in suicides in recent years among not only teenagers but pre-teens.   Although there is no proof of a link to feeling unloved, logic suggests there often is.

DON’T CARE? SURE YOU DO

There is ample evidence that we are herd animals, consequently; it is not surprising that I spent many hundreds of hours listening to patients with relationship problems, for when people are so very important in our lives, dysfunction can present problems.  Although we often attempt to comfort ourselves by professing to not care what others think, in truth we usually do care more than we would admit.  During all those years I spent in the shrink business I must have seen hundreds of people who were contemplating suicide or had actually made serious attempts.  Although there are obviously many factors that may lead one to seriously consider killing oneself, I recall often hearing: “Nobody cares.”

DO WE KNOW WHAT IT IS?

It would indeed be presumptuous of me to attempt to explain what love is all about.  It has certainly been a popular topic for poets, philosophers, musicians, theologians, and artists, through the ages.  The stories of wonder, ecstasy, and tragedy associated with love resonate in pop culture to this day. There have been myths, and legends and attempts to define love by categorizing it (erotic, agape, filial, spiritual, etc.), but the force responsible for this peculiar phenomenon remains a mystery to me.  My favorite definition of the term is from psychoanalyst Harry Stack Sullivan, as follows:

The validity of such explanations is confirmed by the intense love relationships experienced by warriors throughout the ages.  The myriads of reports of heroic efforts put forth by battle hardened veterans to protect their comrades, even risking or forfeiting their lives in the process gives credence to Sullivan’s ideas.  Indeed, when questioned as to why those who would in other situations have been considered unlikely heroes are questioned about their behavior, they will acknowledge that it had nothing to do with military or political beliefs, or patriotic fervor, but rather their devotion to their buddies (“No greater love hath man……”). That phenomenon has not been lost on those charged with training the military, consequently; camaraderie is encouraged and interpersonal dependency guarantees bonding.  One cannot wonder as to the part that the loss of relationships, solidified by the heat of battle, factor in the alarming rate of depression and suicide among our veterans.  Many report they worry about their comrades who are still fighting which may  also account fir the significant number who volunteer for additional tours of duty with their old outfits in spite of the known horrors they will likely confront.

WORTH THE TROUBLE?

Obviously, love has been a major contributor to the success of the human race.  Humans isolated from their kind rarely survive.  Sullivan posits that love is caring for others as for oneself and the old Chinese dude says as a result of love for each other, man gained the strength and courage to take on woolly mammoths and those guys in the next village who were trying to muscle in on their territory.  It is the latter part of that statement that has caused a lot of problems.  We seem to know a great deal as to the effects of love, but little about from whence it comes.  The neuro-physiologists and brain mappers continue to look for specific love loci, and geneticists will likely say that it is in our DNA, but I doubt that CRISPR will ever be able to install a love gene.  It would be great if such could be done, for we currently have little treatment for those who seem incapable of love, i.e. psychopaths.

I KNOW IT WHEN I FEEL IT

It may be that love is like the dark matter of our universe in that we know it exists and feel its effects even though we are unable to see, hear, smell or touch it.  Could it be that love is simply a product of evolution?  If so, how could we have survived long enough for natural selection to kick in?  The creationists insist that God snapped his fingers and we instantly appeared on the scene fully equipped.  Atheists on the other hand think the whole thing was an accident.  Others see love as spiritually endowed.  There are 4300 religions in the world with Christianity leading the pack and Muslims close behind.

WHAT ABOUT RELIGION?

Since I have been reared as a WASP, I have very little understanding of the other religions of the world or in particular where they stand on the love thing, but am pleased that love is at the core of Christianity.  When it comes to Biblical scholarship, I am a dunce, but I do find inspiration in those first few pages of Corinthians which are all about love.  The first 2 of the 10 commandments are also about love, and love is said to be the greatest of all, never fails, and is even better than faith or hope.  There is also that thing about loving your enemies and turning the other cheek, but most of all were the teachings of Christ who was all about love.  Of course, many see an inconsistency in a loving God who lets crappy things happen in spite of being all-powerful.  Since Christians are people it is not surprising to find they have found ways to subvert the love philosophy, and resort to violence with all sorts of rationalizations.

Loving others as much as oneself is a great idea, but very difficult to implement on a grand scale.  Excessive cheek turning is guaranteed to result in a lot of broken jaws.  Nevertheless, there have been many attempts to use love as a mechanism to provide peace and tranquility, which has been met with success in some instances.  In a rare instance of wisdom, our government eschewed the policy of gathering the spoils of war after WWII.  Instead they initiated a policy aiding even our enemies to rebuild their virtually destroyed countries which lead to their becoming our closest allies.   Of course, I was also around during the “love ins” of the sixties.  Although they seemed to have emphasized the erotic rather than agape version of love, they did call attention to long neglected human rights issues and war mongering.  There was also Nelson Mandela and Martin Luther King who both emphasized reconciliation and learning to love each other.

We certainly could use more love in this world, but the chances of EVERYONE following the Golden Rule seem to be unrealistic.  Nevertheless, when I look back on our history it seems there has been some progress in the love department with more emphasis on inclusivity and acceptance.  Although it may seem that love is in short supply, it is alive in well and we can only hope the day will come when The Golden Rule is ever present. Even as millions of our fellow humans face horrors each day, there are millions of people who devote their lives to helping others individually and through organizations, which gives credence to the dictum that love never fails.

Corinthians 13:4-8 gives tells us everything we need to know: “Love is patient, love is kind. It does not envy, it does not boast, it is not proud.  It does not dishonor others, it is not self-seeking, it is not easily angered, it keeps no record of wrongs.  Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres. Love never fails…”

THE GUN BATTLE – Watch the Just the Facts Video

All those guys whom we elected to debate issues our country face have been locked in an adolescent food fight for several years. They are our employees, and are paid reasonably well. I contend they are not doing the job for which we pay them, but we don’t seem to be able to fire them. Statesmanship and decorum is lacking. Their so called debates have even included personal insults. It reminds me of the debates we had in grade school which were not designed to determine who or what was best, but rather who was worse. Most polls suggest that our congressional representatives are tied with each other for the honor of being the most inept, as they are the most unpopular congress in our history.

Independent thinking and deliberation are a thing of the past. On most substantive issues members of each party vote the “party line” with no apparent questioning of what is the most rational position on an issue. Since all Republicans think one way and all Democrats agree with each other, the whole lot would appear to fail the test suggested by Walter Lippmann that when “all think alike, no one thinks very much.” In that sense, they are more like a gang than a deliberative body.

It now appears that this august body has reached a new low in cynical disregard for the people who they are sworn to represent. The leadership has refused to deliberate or vote on a bill which is very important to a majority of their citizenry, apparently in order to avoid taking responsibility for their position. It is understandable that they would want to keep their positions secret since even a vast majority of republicans want a vote on this bill. The only logical conclusion is that the will of the NRA is more important than the will of the congressional representatives’ constituents.

But let us not forget the Democrat’s role in this subversion of the will of the people. Both parties will blame the other for refusing to negotiate in a civilized respectful manner, but no matter who is to blame (I suspect both are ) they don’t seem to talk to each other anymore. The Democrats have said to hell with decorum and are engaged in a sit in within the house chambers. Perhaps this is progress, an indicator that they have matured beyond preadolescence  and have adopted a strategy more popular with college age kids.

The current situation could possibly be resolved by luring the Republicans into the house chamber with the Democrats and locking the door with the admonition that could not come out until differences were resolved. There is the risk; however, that that this could degenerate into an out and out physical brawl which has some precedent in other countries.

Since facts about the issues surrounding guns are hard to find if one only listens to the politicians, I found a video that presents “just the facts.” Enjoy, and let your representative know what you think.

Indeed, a government by the people needs to hear from the people in order to be effective. Email, write, call your congressional representatives. Click this link for contact information.

Where’s Walter Cronkite When You Need Him? The media’s inability to multi-task (among other things)

The Curmudgeon’s Corner

The Media + Robin Williams
August 17, 2014

                It would take longer than the time I have left on this earth to discuss all the complaints I have with our current news media; however last week’s performance exemplifies many of them.  I spent much of my time this last week being dumbed down by CNN.  You might ask ‘why didn’t you simply turn the channel?” and my answer is: if I had not watched it I wouldn’t be able to complain, besides where else is a news junkie to go? MSNBC and FOX news function as political propaganda machines rather than as news organizations.  I had some hope for Aljazera USA, but was told by Time-Warner that I must buy a separate cable box in order to get it on the kitchen TV where I prefer to get my morning news.  I suppose it is a coincidence that Time-Warner is the parent company of CNN.

Perhaps you have noticed that CNN only does one story per week; although that story is repeated continuously until something juicier comes along.  Each retelling is presented with great fanfare as “breaking news”.  Occasionally, they might break in to mention some trivial world events such as the numerous wars raging throughout the world, or the plight of the millions of refugees throughout the world facing starvation, genocide or slaughter.  I sense they would prefer to focus on domestic stories for it must be cheaper to use reporters from affiliates than to hire independent foreign correspondents, which the closing of most of their news gathering facilities throughout the world necessitates.

The story to which I am referring mercifully ended in less than a week as it was recently replaced by the shooting in Missouri, which remains at the top of the charts.  This morning there was breaking news that the Governor was planning to visit Ferguson again.  How exciting!  As you may have guessed the suicide of Robin Williams was the story of the previous week.  I have always been a fan of Robin Williams and thought he and Johnathon Winters were the two funniest men in the world.  My wife commented the other day that Robin had “kind eyes”, and watching the clips on TV, I had to agree.  I was also impressed that his humor was not at the expense of others. There is no question that this man was a comedic genius in addition to being an exceptional actor.

Prior to my bitter old man days, I was a psychiatrist and as such have always had an interest in what makes people tick.  I have found the genius thing to be especially interesting.  For example, how is it that the brains of so called savants can perform unbelievable acts of genius when in all other areas  they are so limited? In my younger days I had also done some research into attempting to learn more about suicidal behaviors.  With these sorts of questions in mind, I found myself listening to a parade of so called experts discussing Robin’s life and tragic death.  Physicians generally spend a lot of time attending lectures by various experts; consequently I have had a lot of experience in this area.  I have even pretended to be an expert myself on occasion.  Somewhere along the line some medical truth teller defined an expert as “someone more than fifty miles from home with slides.” I felt a CNN mental health expert could be characterized as “a smooth talker with an agent.”

With the exception of Dr. Oz (really smooth) who did give a short but accurate monologue about depression, I felt the experts sounded like amateurs.  I feel  sure  that it would take any first year trainee in psychiatry about 15 minutes to diagnose Mr. Williams.  His history of depression, and substance abuse, quick, nay lightning fast wit, periods of impaired judgment, racing thoughts, and family history  were absolutely diagnostic of Bipolar I disorder.   Bipolar disorder frequently gets bad press, and I felt this would be a wonderful opportunity to dispel some of the myths about the disease.   Many historians now think that many of our most creative people have been afflicted in some form.   Robin Williams certainly was in that group.

Arthur Miller, the playwright once said that he had not been able to write anything worthwhile since he started on lithium (a mood stabilizer) but he felt wonderful. This is the man who wrote Death of a Salesman in one day. Yes, bipolar patients can be incredibly productive until they  run out of gas and fall into a pit of intolerable hopelessness, and despair.  I don’t believe any of us who have not experienced that pain can truly understand suicide.

Robin Williams paid a big price for his genius, and I can’t help but wonder if in the past I may have stifled some potential genius’s creativity by treating his Bipolar disease.  Yeah, unintended consequences can be a bitch, but I wager that Robin would have gladly traded fame and fortune for euthymia.